Confidential Close Call Reporting System Evaluation-Related Interview Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FRA F 6180.126A Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	Form	New	Available
49 U.S.C. 20103.doc	Supplementary Document	Uploaded 2007-09-11	Available
49USC20901.doc	Supplementary Document	Uploaded 2007-09-11	Available
49 CFR 1.49a.doc	Supplementary Document	Uploaded 2007-09-11	Available
49 CFR 225.doc	Supplementary Document	Uploaded 2007-09-11	Available
drfC3RSB.doc	Supporting Statement B	Uploaded 2007-09-11	Available
drfC3RSA.doc	Supporting Statement A	Uploaded 2007-09-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181941	Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	Form	New

ICR Details

OMB Control No: 2130-0574	ICR Reference No: 200709-2130-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FRA	Agency Tracking No:
Title: Confidential Close Call Reporting System Evaluation-Related Interview Data Collection
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/24/2008
	Date Received in OIRA: 09/28/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2011	36 Months From Approved
Responses	267	0	0
Time Burden (Hours)	267	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed collection of information is being conducted on behalf of FRA, and is designed to identify safety issues and propose corrective action based on voluntary reports to DOT's Bureau of Transportation Statistics.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 36750	07/05/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 51894	09/11/2007
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Confidential Close Call Reporting System Evaluation-Related Interview Data Collection	FRA F 6180.126B, FRA F 6180.126A	Key Stakeholders Interviews for the Evaluation of the Confidential Close Call Reporting System ,   Railroad Employees View of the Confidential Close Call Reporting System

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	267	0	0	267	0	0
Annual Time Burden (Hours)	267	0	0	267	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new proposed collection of information for a one-time survey. The proposed collection of information or program change fully accounts for the increase in burden of 267 hours.

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Annual Cost to Federal Government: $167,500

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/28/2007

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